NPIMap

Organization Active NPI

Nrron LLC

  • Radiation Oncology Clinic/Center
  • Manchester, CT
National Provider Identifier
1366891475
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X
Legal business name
NRRON LLC
Practice address
100 Haynes St
Manchester, CT 06040-4113
Phone
(860) 533-4000
Fax
(860) 272-3036
NPI assigned
Jun 9, 2016
Last updated
Sep 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dan Delgallo
Title
Chairman
Phone
(860) 646-1222

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X
Radiation Oncology Clinic/Center 261QX0203X Primary

Addresses

Primary practice location

100 Haynes St
Manchester, CT 06040-4113

Mailing address

PO Box 4470
Springfield, MA 01101-4470
Phone (860) 533-4000

Other practice location 1

142 Hazard Ave
Enfield, CT 06082-4520
Phone (860) 272-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160920002168 CT Part B Supplier - Radiation Therapy Center 6608163589 Practice locations: Manchester, CT; Enfield, CT

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

142 Hazard Ave
Enfield, CT 06082
Phone (860) 272-2911

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1366891475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4470",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011014470",
            "telephone_number": "860-533-4000",
            "fax_number": "860-272-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HAYNES ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404113",
            "telephone_number": "860-533-4000",
            "fax_number": "860-272-3036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "142 Hazard Ave",
            "address_purpose": "LOCATION",
            "city": "Enfield",
            "state": "CT",
            "postal_code": "060824520",
            "country_code": "US",
            "telephone_number": "860-272-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NRRON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "DELGALLO",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "860-646-1222"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.